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Complaint Investigation

Big Spring Care Center For Rehab And Healthcare

November 19, 2025 · Humansville, MO · 202 East Mill Street
Citations 2
CMS Rating 1/5
Beds 60
Provider ID 265573
Healthcare Facility
Big Spring Care Center For Rehab And Healthcare
Humansville, MO  ·  View full profile →
Inspection Summary

BIG SPRING CARE CENTER FOR REHAB AND HEALTHCARE in HUMANSVILLE, MO — inspection on November 19, 2025.

Found 2 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0580
Resident Rights Deficiencies
Potential for More Than Minimal Harm

Review of the resident's November 2025 POS showed the following:-An order, dated 11/09/25, for probiotic oral capsule, give 1 capsule by mouth two times a day for antibiotic therapy supplement until 11/19/25;-An order, dated 11/17/25, for Seroquel (used primarily to treat various mental health conditions) oral tablet 35 mg, give 25 mg by mouth at bedtime for behavioral control.

Review of the resident's medical record, dated 11/09/25 to 11/17/25, showed staff did not document notification of responsible party of the new orders. 4.

During an interview on 11/19/25, at 11:15 A.M., Certified Nurse Aide (CNA) C said if a resident had change from baseline, he/she would tell the charge nurse and get the resident's vital signs.

The nursing staff document and contact physician and family.

During an interview on 11/19/25, at 12:00 P.M., Certified Medication Technician (CMT) B said if he/she noted a resident have change in their health condition, he/she would notify the nurse for evaluation.

The nurse contacts the physician and family.

During an interview on 11/19/25, at 12:30 P.M., Licensed Practical Nurse (LPN) A said nursing staff should document care as provided. If it was not charted it was not done.

Staff should contact resident family or responsible party for resident change in health condition, new physician orders, falls, and anything new.

During an interview on 11/19/25, at 1:00 P.M., the DON said the nursing staff should notify the on-call manager for any resident change in health condition.

The nurse should contact the physician to see if any new orders.

The nurse should contact the resident's family of changes in condition and new orders. If the resident is their own self responsible party, they at times do not want their family contacted unless they go to the hospital.

All of this information should be documented.

During an interview on 11/19/25, at 1:30 P.M., the Administrator said the nursing staff should notify a resident's family or emergency contact for all changes of health and new physician orders.

This information should be documented. If the resident was their own person and did not want the family notified that should be documented.

Complaint 2666127

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

11/19/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Big Spring Care Center for Rehab and Healthcare

202 East Mill Street Humansville, MO 65674

SUMMARY STATEMENT OF DEFICIENCIES

Federal health inspectors cited BIG SPRING CARE CENTER FOR REHAB AND HEALTHCARE in HUMANSVILLE, MO for a deficiency under regulatory tag F-F0842 during a complaint investigation conducted on 2025-11-19.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 2 deficiencies cited during this inspection of BIG SPRING CARE CENTER FOR REHAB AND HEALTHCARE.

Correction Status: Deficient, Provider has no plan of correction.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in HUMANSVILLE, MO, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from BIG SPRING CARE CENTER FOR REHAB AND HEALTHCARE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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